{"id":140145,"date":"2024-09-18T10:58:48","date_gmt":"2024-09-18T10:58:48","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=140145"},"modified":"2024-09-18T10:58:50","modified_gmt":"2024-09-18T10:58:50","slug":"a-nurse-is-administering-enoxaparin","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/18\/a-nurse-is-administering-enoxaparin\/","title":{"rendered":"A nurse is administering enoxaparin"},"content":{"rendered":"\n

A nurse is administering enoxaparin, a low-molecular-weight heparin, to a client who has undergone orthopedic surgery. The nurse should administer this medication by which route and at which site?<\/p>\n\n\n\n

A.
Intramuscular injection in the deltoid muscle<\/p>\n\n\n\n

B.
Subcutaneous injection in the abdomen<\/p>\n\n\n\n

C.
Intravenous infusion in a peripheral vein<\/p>\n\n\n\n

D.
Intradermal injection in the forearm.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is:<\/p>\n\n\n\n

B. Subcutaneous injection in the abdomen<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Enoxaparin is a low-molecular-weight heparin (LMWH) used as an anticoagulant to prevent and treat deep vein thrombosis (DVT) and pulmonary embolism (PE), particularly after orthopedic surgeries. Proper administration of this medication is crucial for its effectiveness and for minimizing complications.<\/p>\n\n\n\n

Route of Administration:<\/strong>
Enoxaparin is administered subcutaneously. This method allows for the medication to be absorbed gradually into the bloodstream from the fatty tissue. Intramuscular, intravenous, and intradermal routes are not suitable for this type of medication due to its specific pharmacokinetic properties and potential for adverse effects.<\/p>\n\n\n\n

Site of Injection:<\/strong>
The recommended site for subcutaneous administration of enoxaparin is the abdomen, specifically in the area of the lower abdominal wall, at least 2 inches away from the umbilicus. This region has a sufficient amount of subcutaneous tissue which allows for optimal absorption of the drug. The abdomen is preferred because it provides a consistent absorption rate and minimizes the risk of bleeding complications compared to other sites.<\/p>\n\n\n\n

Technique:<\/strong>
When administering enoxaparin, it\u2019s essential to use the correct technique to avoid complications such as bruising or inadequate drug absorption. The nurse should:<\/p>\n\n\n\n

    \n
  1. Pinch the skin to lift the subcutaneous tissue away from the muscle.<\/li>\n\n\n\n
  2. Insert the needle at a 90-degree angle to the skin surface.<\/li>\n\n\n\n
  3. Inject the medication slowly and steadily.<\/li>\n\n\n\n
  4. Withdraw the needle and apply gentle pressure to the site without rubbing it.<\/li>\n<\/ol>\n\n\n\n

    Avoiding Other Routes:<\/strong><\/p>\n\n\n\n

      \n
    • Intramuscular injection<\/strong> (A) is not appropriate for enoxaparin due to the risk of bleeding and bruising in muscle tissue.<\/li>\n\n\n\n
    • Intravenous infusion<\/strong> (C) is not necessary for enoxaparin as it is not intended for continuous infusion but rather for intermittent dosing.<\/li>\n\n\n\n
    • Intradermal injection<\/strong> (D) is used for diagnostic tests and not suitable for systemic anticoagulation.<\/li>\n<\/ul>\n\n\n\n

      By adhering to these guidelines, the nurse ensures effective anticoagulation therapy while minimizing risks to the patient.<\/p>\n","protected":false},"excerpt":{"rendered":"

      A nurse is administering enoxaparin, a low-molecular-weight heparin, to a client who has undergone orthopedic surgery. The nurse should administer this medication by which route and at which site? A.Intramuscular injection in the deltoid muscle B.Subcutaneous injection in the abdomen C.Intravenous infusion in a peripheral vein D.Intradermal injection in the forearm. The correct answer and […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140145","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140145"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140145\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}